Here are 10 ways to take an active role in diabetes care and enjoy a healthier future.
1. Commit to managing your diabetes
Learn all you can learn about diabetes.
Your diabetes care team can help you learn the basics of diabetes care and offer support along the way, but you are the player, you make the calls.
2. Don’t smoke
Smoking increases your risk of type 2 diabetes and the risk of various diabetes complications, including:
- Reduced blood flow in the legs and feet, which can lead to infections, ulcers and possible removal of a body part by surgery (amputation)
- Heart disease
- Eye disease, which can lead to blindness
- Nerve damage
- Kidney disease
- Premature death
3. Keep your blood pressure and cholesterol under control
High blood pressure can damage your blood vessels. High cholesterol is a concern, too, since the damage is often worse and more rapid when you have diabetes. When these conditions team up, they can lead to a heart attack, stroke or other life-threatening diseases.
4. Schedule regular physicals and eye exams
Schedule two to four diabetes checkups a year, in addition to your yearly physical and routine eye exams. Your eye care specialist will check for signs of retinal damage, cataracts, and glaucoma.
5. Keep your vaccines up to date
Ask your doctor about:
Flu vaccine. A yearly flu vaccine can help you stay healthy during flu season as well as prevent severe complications from the flu.
Pneumonia vaccine. Sometimes the pneumonia vaccine requires only one shot. If you have diabetes complications or you’re age 65 or older, you may need a booster shot.
Hepatitis B vaccine. The hepatitis B vaccine is recommended for adults with diabetes who haven’t previously received the vaccine and are younger than 60. If you’re age 60 or older and have never received the hepatitis B vaccine, talk to your doctor about whether it’s right for you.
Other vaccines. Stay up to date with your tetanus shot (usually given every 10 years). Your doctor may recommend other vaccines as well.
6. Take care of your teeth
Diabetes may leave you prone to gum infections. Brush your teeth at least twice a day with fluoride toothpaste, floss your teeth once a day and schedule dental exams at least twice a year.
7. Pay attention to your feet
High blood sugar can reduce blood flow and damage the nerves in your feet. Left untreated, cuts and blisters can lead to severe infections. Diabetes can lead to pain, tingling or loss of sensation in your feet.
To prevent foot problems:
- Wash your feet daily in lukewarm water. Avoid soaking your feet, as this can lead to dry skin.
- Dry your feet gently, especially between the toes.
- Moisturize your feet and ankles with lotion or petroleum jelly. Do not put oils or creams between your toes — the extra moisture can lead to infection.
- Check your feet daily for calluses, blisters, sores, redness or swelling.
- Consult your doctor if you have a sore or other foot problem that doesn’t start to heal within a few days. If you have a foot ulcer — an open sore — see your doctor right away.
- Don’t go barefoot, indoors or outdoors.
8. Consider a daily aspirin
If you have diabetes and other cardiovascular risk factors, such as smoking or high blood pressure, your doctor may recommend taking a low dose of aspirin every day to help reduce your risk of heart attack and stroke. Ask your doctor whether daily aspirin therapy is appropriate for you, including which strength of aspirin would be best.
9. If you drink alcohol, do so responsibly
Alcohol can cause high or low blood sugar, depending on how much you drink and whether you eat at the same time. If you choose to drink, do so only in moderation, which means no more than one drink a day for women of all ages and men older than 65 and two drinks a day for men age 65 and younger.
Always drink with a meal or snack, and remember to include the calories from any alcohol you drink in your daily calorie count. Also, be aware that drinking can lead to low blood sugar later, especially for people who use insulin.
10. Take stress seriously
If you’re stressed, it’s easy to neglect your usual diabetes care routine. To manage your stress, set limits. Prioritize your tasks. Learn relaxation techniques.
Get plenty of sleep. And above all, stay positive. Diabetes care is within your control. If you’re willing to do your part, diabetes won’t stand in the way of an active, healthy life.